Quantitative gait analysis of patients with bilateral hip osteoarthritis excluding the influence of walking speed
Tóm tắt
The purpose of this study was to investigate gait characteristics of patients with bilateral hip osteoarthritis (BHO) independent of walking speed. We measured gait parameters in 12 BHO patients during free walking activities and in 12 normal adults during both free walking and slow walking activities using a three-dimensional computerized gait analysis system. Patients with BHO had a lower walking speed, step length, and cadence than normal subjects during free walking. When compared with normal subjects walking at a slow speed, the walking speed difference among BHO patients disappeared, although BHO patients retained a relatively high cadence. Kinematic and kinetic factor analysis of BHO patients at free speed compared to normal subjects walking at a slow speed showed a forward-tilted pelvic angle in the BHO patients that dropped to that of the ipsilateral side during the stance phase. The peak extension and abduction angle of the hip and the peak abduction moment of the hip were all low, whereas the peak generation power of the ankle was high in BHO patients. Gait characteristics of patients with BHO, independent of walking speed, were as follows: (1) increased cadence and ankle generation power; (2) reduced step width, hip extension, and abduction angle as well as a lower hip abduction moment; (3) maintained forward tilting of the pelvis during gait cycle; and (4) appearance of a dropped pelvis during the stance phase.
Tài liệu tham khảo
ME Van Baar J Dekker RAB Oostendorp D Bijl ThB Voorn JWJ Bijlsma (2001) ArticleTitleEffectiveness of exercise in patients with osteoarthritis of hip or knee: nine months' follow-up Ann Rheum Dis 60 1123–30 10.1136/ard.60.12.1123 Occurrence Handle10.1136/ard.60.12.1123 Occurrence Handle1:STN:280:DC%2BD3MnmtlClsw%3D%3D Occurrence Handle11709454
M Weigl F Angst G Stucki S Lehmann A Aeschlimann (2004) ArticleTitleInpatient rehabilitation for hip or knee osteoarthritis: 2-year follow up study Ann Rheum Dis 63 360–8 10.1136/ard.2003.011601 Occurrence Handle10.1136/ard.2003.011601 Occurrence Handle1:STN:280:DC%2BD2c7islertg%3D%3D Occurrence Handle15020328
HL Hoeksma J Dekker HK Ronday A Heering N van der Lubbe C Vel et al. (2004) ArticleTitleComparison of manual therapy and exercise therapy in osteoarthritis of the hip: a randomized clinical trial Arthritis Rheum 51 722–9 10.1002/art.20685 Occurrence Handle10.1002/art.20685 Occurrence Handle15478147
E Watelain F Dujardin F Babier D Dubois P Allard (2001) ArticleTitlePelvic and lower limb compensatory actions of subjects in an early stage of hip osteoarthritis Arch Phys Med Rehabil 82 1705–11 10.1053/apmr.2001.26812 Occurrence Handle10.1053/apmr.2001.26812 Occurrence Handle1:STN:280:DC%2BD38%2FlslagtA%3D%3D Occurrence Handle11733886
G Möckel C Perka K Labs G Duda (2003) ArticleTitleThe influence of walking speed on kinetic and kinematic parameters in patients with osteoarthritis of the hip using a force-instrumented treadmill and standardised gait speeds Arch Orthop Trauma Surg 123 278–82 10.1007/s00402-003-0513-0 Occurrence Handle10.1007/s00402-003-0513-0 Occurrence Handle12748870
CL Romanò C Frigo G Randelli A Pedotti (1996) ArticleTitleAnalysis of the gait of adults who had residua of congenital dysplasia of the hip J Bone Joint Surg Am 78 1468–79 Occurrence Handle8876573
DE Hurwitz CH Hulet TP Andriacchi AG Rosenberg JO Galante (1997) ArticleTitleGait compensations in patients with osteoarthritis of the hip and their relationship to pain and passive hip motion J Orthop Res 15 629–35 10.1002/jor.1100150421 Occurrence Handle10.1002/jor.1100150421 Occurrence Handle1:STN:280:DyaK1c%2FhvVCgsg%3D%3D Occurrence Handle9379275
MP Murray DR Gore BH Clarkson (1971) ArticleTitleWalking patterns of patients with unilateral hip pain due to osteo-arthritis and avascular necrosis J Bone Joint Surg Am 53 259–74 Occurrence Handle1:STN:280:DyaE3M7ivF2rtQ%3D%3D Occurrence Handle5546699
N Shakoor DE Hurwitz JA Block S Shott JP Case (2003) ArticleTitleAsymmetric knee loading in advanced unilateral hip osteoarthritis Arthritis Rheum 48 1556–61 10.1002/art.11034 Occurrence Handle10.1002/art.11034 Occurrence Handle12794823
S Yamamoto Y Suto H Kawamura T Hashizume S Kakurai S Sugahara (1983) ArticleTitleQuantitative gait evaluation of hip diseases using principal component analysis J Biomech 16 717–26 10.1016/0021-9290(83)90081-7 Occurrence Handle10.1016/0021-9290(83)90081-7 Occurrence Handle1:STN:280:DyaL2c%2FmtF2rsg%3D%3D Occurrence Handle6643543
Y Tanaka (1998) ArticleTitleGait analysis of patients with osteoarthritis of the hip and those with total hip arthroplasty Biomed Mater Eng 8 187–96 Occurrence Handle1:STN:280:DyaK1M7mtlOlug%3D%3D Occurrence Handle10065885
H Watanabe Y Shimada H Kagaya K Sato (1999) ArticleTitleGait analysis following varus osteotomy of the femur for hip osteoarthritis J Orthop Sci 4 89–98 10.1007/s007760050080 Occurrence Handle10.1007/s007760050080 Occurrence Handle1:STN:280:DyaK1M3hs1GqsQ%3D%3D Occurrence Handle10199986
B Cichy M Wilk (2006) ArticleTitleGait analysis in osteoarthritis of the hip Med Sci Monit 12 507–13
Z Bejek R Paróczai RM Kiss Á Illyés (2006) ArticleTitleThe influence of walking speed on gait parameters in healthy people and in patients with osteoarthritis Knee Surg Sports Traumatol Arthrosc 14 612–22 10.1007/s00167-005-0005-6 Occurrence Handle10.1007/s00167-005-0005-6 Occurrence Handle16331521
H Endo S Mitani M Senda A Kawai C McCown M Umeda et al. (2003) ArticleTitleThree-dimensional gait analysis of adults with hip dysplasia after rotational acetabular osteotomy J Orthop Sci 8 762–71 10.1007/s00776-003-0705-z Occurrence Handle10.1007/s00776-003-0705-z Occurrence Handle14648262
AT Berman RH Quinn VJ Zarro (1991) ArticleTitleQuantitative gait analysis in unilateral and bilateral total hip replacements Arch Phys Med Rehabil 72 190–3 Occurrence Handle1:STN:280:DyaK3M7ltFaisw%3D%3D Occurrence Handle1998452
DW Grieve RJ Gear (1966) ArticleTitleThe relationships between length of stride, step frequency, time of swing and speed of walking for children and adults Ergonomics 5 379–99 10.1080/00140136608964399 Occurrence Handle10.1080/00140136608964399
C Kirtley MW Whittle RJ Jefferson (1985) ArticleTitleInfluence of walking speed on gait parameters J Biomed Eng 7 282–8 10.1016/0141-5425(85)90055-X Occurrence Handle10.1016/0141-5425(85)90055-X Occurrence Handle1:STN:280:DyaL28%2FjvVyjtA%3D%3D Occurrence Handle4057987
JL Lelas GJ Merriman PO Riley DC Kerrigan (2003) ArticleTitlePredicting peak kinematic and kinetic parameters from gait speed Gait Posture 17 106–12 10.1016/S0966-6362(02)00060-7 Occurrence Handle10.1016/S0966-6362(02)00060-7 Occurrence Handle12633769
LE Larsson P Odenrick B Sandlund P Weitz PÅ Öberg (1980) ArticleTitleThe phases of the stride and their interaction in human gait Scand J Rehabil Med 12 107–12 Occurrence Handle1:STN:280:DyaL3M7lt12gtg%3D%3D Occurrence Handle7209443
C Frigo L Tesio (1986) ArticleTitleSpeed-dependent variations of lower-limb joint angles during walking Am J Phys Med 65 51–62 Occurrence Handle1:STN:280:DyaL287osVSquw%3D%3D Occurrence Handle3963165
G Chen C Patten DH Kothari FE Zajac (2005) ArticleTitleGait differences between individuals with post-stroke hemiparesis and non-disabled controls at matched speeds Gait Posture 22 51–6 10.1016/j.gaitpost.2004.06.009 Occurrence Handle10.1016/j.gaitpost.2004.06.009 Occurrence Handle15996592
SP Messier P DeVita RE Cowan J Seay HC Young AP Marsh (2005) ArticleTitleDo older adults with knee osteoarthritis place greater loads on the knee during gait? A preliminary study Arch Phys Med Rehabil 86 703–9 10.1016/j.apmr.2004.05.015 Occurrence Handle10.1016/j.apmr.2004.05.015 Occurrence Handle15827921
S Shimada S Kobayashi M Wada S Sasaki H Kawahara K Uchida et al. (2006) ArticleTitleEffect of compensation procedures for velocity on repeatability and variability of gait parameters in normal subjects Clin Rehabil 20 239–45 10.1191/0269215506cr935oa Occurrence Handle10.1191/0269215506cr935oa
M Hanlon R Anderson (2006) ArticleTitlePrediction methods to account for the effect of gait speed on lower limb angular kinematics Gait Posture 24 280–7 10.1016/j.gaitpost.2005.10.007 Occurrence Handle10.1016/j.gaitpost.2005.10.007 Occurrence Handle16311035
JH Kellgren JS Lawrence (1957) ArticleTitleRadiological assessment of osteo-arthrosis Ann Rheum Dis 16 494–502 10.1136/ard.16.4.494 Occurrence Handle10.1136/ard.16.4.494 Occurrence Handle1:STN:280:DyaG1c%2FktFeltQ%3D%3D Occurrence Handle13498604
InstitutionalAuthorNameJapanease Orthopaedic Association (1995) ArticleTitleEvaluation chart of hip joint functions J Jpn Orthop Assoc 69 864–7
JJ Eng DA Winter (1995) ArticleTitleKinetic analysis of the lower limbs during walking: what information can be gained from a three-dimensional Model? J Biomech 28 753–8 10.1016/0021-9290(94)00124-M Occurrence Handle10.1016/0021-9290(94)00124-M Occurrence Handle1:STN:280:DyaK2MzisFemtw%3D%3D Occurrence Handle7601875
F Alton L Baldey S Caplan MC Morrissey (1998) ArticleTitleA kinematic comparison of overground and treadmill walking Clin Biomech 13 434–40 10.1016/S0268-0033(98)00012-6 Occurrence Handle10.1016/S0268-0033(98)00012-6
TP Andriacchi JA Ogle JO Galante (1977) ArticleTitleWalking speed as a basis for normal and abnormal gait measurements J Biomech 10 261–8 10.1016/0021-9290(77)90049-5 Occurrence Handle10.1016/0021-9290(77)90049-5 Occurrence Handle1:STN:280:DyaE2s7msFarsw%3D%3D Occurrence Handle858732